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NPI Code Detail

MEDICARE: DR. CATHERINE LUCILLE STEMMANS LAT, ATC

MEDICARE: DR. CATHERINE LUCILLE STEMMANS LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer36000559AIN

General Provider Information

NPI Number : 1770577264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE LUCILLE STEMMANS LAT, ATC
Provider Business Mailing Address
First Line : INDIANA STATE UNIVERSITY ATHLETIC TRAINING DEPT
Second Line : ARENA BUILDING C-9
City : TERRE HAUTE
State : IN
Zip : 47809-0001
Country : US
Telephone Number : 812-237-8336
Fax Number : 812-237-4368
Provider Business Practice Location Address
First Line : INDIANA STATE UNIVERSITY ATHLETIC TRAINING DEPT
Second Line : ARENA BUILDING C-9
City : TERRE HAUTE
State : IN
Zip : 47809-0001
Country : US
Telephone Number : 812-237-8336
Fax Number : 812-237-4368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2005
Last Update Date : 07/08/2007

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